CAJ | 학술논문

目的：比较不同方法治疗急性上消化道出血的临床效果。方法选取本院2013年2月~2014年10月收治的60例急性上消化道出血患者作为研究对象。随机分为观察组和对照组，各30例。观察组采用急诊胃镜及胃镜下治疗，对照组采用口服止血药物进行治疗，比较两组的治疗效果。结果观察组的痊愈率为60.00%，显著高于对照组的33.33%，差异有统计学意义(P<0.05)。观察组中未输血者所占比例显著高于对照组，差异有统计学意义(P<0.05)。观察组输血量跃400 ml者所占比例显著低于对照组，差异有统计学意义(P<0.05)。结论急诊胃镜及胃镜下治疗急性上消化道出血效果显著，值得临床推广应用。
목적：비교불동방법치료급성상소화도출혈적림상효과。방법선취본원2013년2월~2014년10월수치적60례급성상소화도출혈환자작위연구대상。수궤분위관찰조화대조조，각30례。관찰조채용급진위경급위경하치료，대조조채용구복지혈약물진행치료，비교량조적치료효과。결과관찰조적전유솔위60.00%，현저고우대조조적33.33%，차이유통계학의의(P<0.05)。관찰조중미수혈자소점비례현저고우대조조，차이유통계학의의(P<0.05)。관찰조수혈량약400 ml자소점비례현저저우대조조，차이유통계학의의(P<0.05)。결론급진위경급위경하치료급성상소화도출혈효과현저，치득림상추엄응용。
Objective To compare the clinical effect of different methods in the treatment of acute upper gastrointesti-nal bleeding. Methods 60 patients with acute upper gastrointestinal bleeding from February 2013 to October 2014 in our hospital were selected and randomly divided into the observation group and the control group,30 cases in each group.The observation group was given emergency endoscopy and endoscopic treatment,the control group was given hemostatic drug by oral administration.The therapeutic effect in two groups was compared. Results The cure rate in the observation group was 60%,which was higher than 33.33% in the control group,with significant difference (P<0.05).The proportion of non blood transfusion in the observation group was higher than that in the control group,with significant difference (P<0.05).The proportion of blood transfusion being more than 400 ml in the observation group was lower than that in the control group,with significant difference (P<0.05). Conclusion The effect of emergency endoscopy and endo-scopic treatment in the treatment of acute upper gastrointestinal bleeding is significant,it is worthy of clinical promotion and application.